Halley Marie Friedeman – Family Nurse Practitioner

Key facts

NPI: 1811547409
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 226005 (AZ)
Practice address: Hwy Junction 57, RT9
Crownpoint, NM 87313
Phone: (505) 786-5291
Fax: (505) 786-6435
NPI assigned: Sep 16, 2019
Sex: Female
Sole proprietor: No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Ponca Tribe of Nebraska Clinic/Center · Omaha, NE · NPI 1710172879

Medicare reassignment Care Compare group NPD TX
DHHS PHS Naihs Crownpoint Hospital General Acute Care Hospital · Crownpoint, NM · NPI 1114960093

Medicare reassignment NPD TX
Pueblo Pintado Clinic Clinic/Center · Cuba, NM · NPI 1023051133

NPD
Thoreau Clinic Clinic/Center · Thoreau, NM · NPI 1679516702

NPD

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2011
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Ponca Tribe of Nebraska (14 clinicians)

Practice addresses (Care Compare)

2602 J St
Omaha, NE 68107-1643
Phone (402) 738-3158

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20200612000003	TX	Practitioner - Nurse Practitioner	8022430446	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Status	New patients
DHHS PHS Naihs Crownpoint Hospital	Current since Jun 3, 2020	Accepting new patients
Ponca Tribe of Nebraska	Current since Oct 13, 2025	Accepting new patients
Thoreau Clinic	Current since Jun 3, 2020	Accepting new patients
Pueblo Pintado Clinic	Current	Accepting new patients

Locations

2602 J St
Omaha, NE 68107
Phone (402) 733-3612

5805 S 86th Cir
Ralston, NE 68127

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	226005	AZ	Yes

Addresses

Primary practice location

Hwy Junction 57, RT9
Crownpoint, NM 87313

Mailing address

P.O Box 358
Hwy Junction 57, RT9 Crownpoint, NM 87313
Crownpoint, NM 87313
Phone (505) 786-5291

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Family Nurse Practitioner in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.